Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Enrico Masangkay Roque Jr., OTR

Individual provider Occupational Therapist · NPI 1386270155

Mr. Enrico Masangkay Roque Jr., OTR is an Occupational Therapist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2020.

Licensed in
LA
In the registry since
2020
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

103 Pantheon Ln
Shreveport, LA 71115-4506
Phone: (318) 393-1057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTT.200779 (LA)

Record details

NPI number1386270155
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 12, 2020
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020

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